Glucocorticoids and Mineralocorticoids in Hair: Facilitating Accurate Diagnosis of Adrenal-Related Endocrine Disorders

    November 2024 in “ Frontiers in Endocrinology
    Bianca Heyns, Rialet Pieters, Maria A. Stander, Stephen L. Atkin, Amanda C. Swart
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    TLDR Hair analysis can help diagnose adrenal disorders non-invasively.
    The study explores the use of glucocorticoids and mineralocorticoids in hair as a diagnostic tool for adrenal-related endocrine disorders, involving 15 volunteers (7 women and 8 men). Using a novel UPC2-MS/MS system, the researchers successfully extracted and quantified multiple steroids from hair samples, highlighting the potential of hair analysis as a non-invasive method for diagnosing conditions like Cushing's syndrome and congenital adrenal hyperplasia. The study found that all glucocorticoids and mineralocorticoids were detectable, with DOC being the most abundant, although cortisol and cortisone were higher in some individuals. Despite challenges in measuring steroid concentrations due to matrix effects, the method showed high recovery and process efficiency. However, further research is needed to refine the methodology and validate findings in larger cohorts.
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